Individual
KIMBERLY DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 POINCIANA DR, PEMBROKE PINES, FL 33025-4587
(774) 208-2790
Mailing address
1633 POINCIANA DR, PEMBROKE PINES, FL 33025-4587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
10/24/2025
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